Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.94 / $488.33 / $497.72	Facility		$478.94	$488.33	$497.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.42 / $497.72 / $807.62	Professional		$456.42	$497.72	$807.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $592.52 / $592.52 / $948.02	Professional		$592.52	$592.52	$948.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $568.25 / $568.25 / $734.70	Professional		$568.25	$568.25	$734.70
Baylor Scott & White Facility/Professional Professional Modifier Low / Median / High Price $635.45 / $635.45 / $847.27	Professional		$635.45	$635.45	$847.27
Christus Facility/Professional Facility Modifier Low / Median / High Price $847.27 / $847.27 / $847.27	Facility		$847.27	$847.27	$847.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $854.15 / $854.15 / $854.15	Facility		$854.15	$854.15	$854.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $854.15	Professional		$623.53	$623.53	$854.15
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $1,561.07 / $3,899.19 / $3,899.19	Facility		$1,561.07	$3,899.19	$3,899.19
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $6,489.35 / $6,489.35 / $6,489.35	Professional		$6,489.35	$6,489.35	$6,489.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $763.72 / $898.49	Facility		$288.18	$763.72	$898.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.56 / $720.18 / $974.36	Professional		$358.56	$720.18	$974.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $847.27 / $913.66 / $3,245.04	Professional		$847.27	$913.66	$3,245.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $288.18 / $741.61 / $854.15	Facility		$288.18	$741.61	$854.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $623.53 / $623.53 / $854.15	Professional		$623.53	$623.53	$854.15
United Facility/Professional Professional Modifier Low / Median / High Price $525.22 / $791.02 / $988.78	Professional		$525.22	$791.02	$988.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $762.75 / $800.91 / $847.27	Professional		$762.75	$800.91	$847.27